Patel Nachiket, Ngo Elizabeth, Paterick Timothy E, Ammar Khawaja Afzal, Chandrasekaran Krishnaswamy, Tajik A Jamil
Division of Cardiology, University of Florida College of Medicine, Jacksonville, FL.
Aurora Cardiovascular Services, St. Luke's Medical Center, University of Wisconsin School of Medicine and Public Health, Milwaukee, WI.
Rev Cardiovasc Med. 2016;17(3-4):85-99. doi: 10.3909/ricm0828.
A rapid diagnosis of ST-segment elevation myocardial infarction (STEMI) is mandatory for optimal treatment of an acute coronary syndrome. However, a small number of patients with suspected STEMI are afflicted with other medical conditions. These medical conditions are rare, but important clinical entities that should be considered when evaluating a STEMI alert. These conditions include coronary vasospasm, Takotsubo cardiomyopathy, coronary arteritis/aneurysm, myopericarditis, Brugada syndrome, left bundle branch block, early repolarization, aortic dissection, infective endocarditis with root abscess, subarachnoid hemorrhage, ventricular aneurysm after transmural myocardial infarction, and hemodynamically significant pulmonary embolism with right ventricular strain. Herein, we present several STEMI mimickers.
对于急性冠状动脉综合征的最佳治疗，快速诊断ST段抬高型心肌梗死（STEMI）至关重要。然而，少数疑似STEMI的患者还患有其他疾病。这些疾病虽罕见，但却是评估STEMI警报时应考虑的重要临床实体。这些疾病包括冠状动脉痉挛、Takotsubo心肌病、冠状动脉炎/动脉瘤、心肌心包炎、Brugada综合征、左束支传导阻滞、早期复极、主动脉夹层、伴有根部脓肿的感染性心内膜炎、蛛网膜下腔出血、透壁性心肌梗死后的室壁瘤以及伴有右心室劳损的血流动力学显著的肺栓塞。在此，我们介绍几种STEMI的模仿者。
